| 1. |
- Carlsund, Åsa, 1969-, et al.
(författare)
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Living With Type 1 Diabetes As Experienced By Young Adults
- 2019
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 6:2, s. 418-425
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Tidskriftsartikel (refereegranskat)abstract
- Background. A person’s long-term illness influences many aspects of daily living, for the person affected as well as the family. Living with Type 1 Diabetes in young adulthood raises numerous challenges and concerns.Design. This study has a qualitative design.Methods. Semi-structured interviews were performed with 12 young adults living with Type 1 Diabetes. The interviews were analysed using qualitative content analysis.Results. The analysis revealed contradictory ways of handling the illness, as is illuminated in four categories: Handling the situation, dealing with others, lack motivation and relation to healthcare. Daily life for young adults with Type 1 Diabetes is filled with demanding tasks such as self-administration of insulin, blood glucose tests, and monitoring carb intake to manage blood glucose levels.
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| 2. |
- Carlsund, Åsa, 1969-, et al.
(författare)
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Daily Life with Type 1 Diabetes from the Perspectives of Young Adults and Their Close Relatives
- 2018
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Ingår i: American Journal of Nursing Science. - : Science Publishing Group. - 2328-5745 .- 2328-5753. ; 7:4, s. 115-120
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to enhance a deeper understanding of daily life as experienced by young adults with Type 1 Diabetes and their close relatives. Young adulthood is commonly considered as an amendment to adult roles. Increased responsibility, such as a long-term illness in young adulthood, might lead to increased stress and anxiety. Type 1 Diabetes involves large obligations related to self-care, and close relatives might play an important role in managing daily life. A hermeneutic study involving interviews with a narrative approach with couples. The hermeneutic analysis revealed that T1D is always unconditionally present in daily life for young adults and their close relatives. Close relatives are important supporters, they have an understanding based on sharing daily life with the young adults with T1D. Young adults and their close relatives highlighted the experiences of being questioned, which in turn threatens the young adults’ integrity.
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| 3. |
- Carlsund, Åsa, 1969-, et al.
(författare)
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Support for children as next of kin and systematic follow up : group leaders’ and managers’ perspectives within non-profit organizations in Sweden
- 2017
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Ingår i: Open Family Studies Journal. - : Bentham Open. - 1874-9224. ; 9, s. 49-59
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Tidskriftsartikel (refereegranskat)abstract
- Method: The aim of this study was to explore the systematic follow up of supportive activities in non-profit organizations targeted at childrenas next of kin. Managers and group leaders were interviewed, and findings were content analysed.Result: The findings indicated that a child focus, education, safety and trust were important. These factors were observed as the primarytasks and the key reason for being involved in supportive activities. Managers expressed concern about not retaining funding, if the organization was unable to demonstrate the effects of their activities. Namely, to enhance the health and wellbeing of children. In order to continuously develop their work most organisations explained that they used some form of system for follow up. However,there was a wide variation in how non-profit organizations worked with follow ups.Conclusion: Overall, it was evident that there was a major need for education and support in this area.
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| 4. |
- Johansson, Pauline, 1968-, et al.
(författare)
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Support to children as next of kin and systematic follow up : group leaders’ and managers’ perspectives within non-profit organizations in Sweden
- 2017
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Konferensbidrag (refereegranskat)abstract
- Children as next of kin are at a significantly increased risk to be affected negatively when they are involved in incomprehensible situations in life, such as anxiety and unpredictable incidents. The family economy, social relationships, communication and division of roles are additional examples of risk factors. This can in turn lead to socio-economic problems, poor school performance and mental illness for the children affected. The Swedish legislative changes in health care, in 2010, gained increased attention on children as next of kin and their need for and right to advice, support and information. A major development action to improve health and social care for affected children started. Alongside Swedish health and social care services, non-profit organizations provide support for children as next of kin. Non-profit organizations are categorized as civil society, but their works are usually regulated by health care or social service laws. Although there are a number of organizations that provide support to these children, there is little knowledge of the results of the support given. Therefore, this study focuses on systematic follow up of supportive activities targeted at children as next of kin, in the work of non-profit organizations. Systematic follow up in this context is about continuously exploring the needs of children as next of kin. Furthermore check-up whether the child had adequate support, need more support, or whether there is a need for other support. In 2015, a descriptive study with a sample of managers and group leaders in ten non-profit organizations, who provide supportive group activities to children as next of kin (up to 18 years), was conducted. Data were collected through individual and group interviews, and analysed with content analysis. The interviews included information about the organizations, such as background, goals, results of the support group activities, and the managers’ and the group leaders’ encouragement to provide systematic follow up.Objectives/results: The aim of this study was to explore how non-profit organizations work with supportive group activities for children as next of kin and how they follow up to obtain results. The findings indicated that a child focus, education, safety and trust were important. These factors were observed as the absolute main tasks and the reason for being involved in supportive activities. Additionally, great differences in how non-profit organizations work with follow ups were shown. A large and clear need for education on the subject of systematic follow up was revealed.
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| 5. |
- Johansson, Pauline, 1968-, et al.
(författare)
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To implement systematic follow up : challengers and experiences from a case study
- 2017
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Konferensbidrag (refereegranskat)abstract
- Many Swedish children are growing up with difficulties in the family, and it is common that this children as next of kin have a higher incidence of mental illness and poor school performance. There is a risk that in these families occur secrecy, rapid unpredictable changes and reverse liability and role distributions. The children can have difficulty understanding what is happening and may feel anxiety, fear, guilt and shame. Much of the child's energy can be focused on family problems, preventing their own development and impacting negatively on well-being. Even though the situation for children as next of kin may differ in many ways, their needs may be similar in several respects. Swedish social care services provide various forms of support and interventions for these children; however, there is little knowledge of the results of the support given. The basic idea of support group activities is that children from similar domestic situation will meet and support one another, can take advantage of the knowledge of group leaders and that the children have the opportunity to talk about their situation. A support group for children is both a preventive and promotive effort; intervention aims to prevent ill health but also improves the mental health and social situation of the children. Systematic follow up is a part of evidence-based practice, which is in turn based on systematic knowledge from the user's experience, scientific knowledge and professional experience. Systematic follow up in the context of children as next of kin is about continuously exploring their needs and obtaining whether the child had adequate support, need more support, or whether there is a need for other support. A single case study was conducted in 2015/2016 of one organization, within municipal care, that provides support in the form of group activities for children as next of kin. The target group was healthy children aged 6-12 years whose parents or siblings had a serious medical condition or disability. The study approach was participatory action research, where the group leaders collaborate with the researchers, in order to implement systematic follow up. Data were collected from the group leaders through interviews, meetings, documents and notes.Objectives/Outcomes: Data collection is ongoing but preliminary findings can describe the implementation process of systematic follow up in four phases: enthusiasm, confusion, fumbling and decision.
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| 6. |
- Carlsund, Åsa, 1969-, et al.
(författare)
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Swedish Parent’s Experiences of Joint Physical Custody
- 2014
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Ingår i: Open Family Studies Journal. - : Bentham Science Publishers Ltd.. - 1874-9224. ; 6, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- Abstract: Aim: This study’s aim was to learn more about parent experiences, when living in joint physical custody with their children. Methods: The study design was descriptive, using a qualitative approach. Interviews were conducted with 28 parents who lived in joint physical custody with their children. Content was analysed using inductive content analysis. Results: Participants with joint custody reported many positive experiences, and a similar process of adapting to the new living- arrangement. Results indicate that shortly after the separation parents were mainly occupied with emotional reactions to the new family situation. After two to three years, or in some cases longer, things seemed to settle down and the participants became more accustomed to the arrangements. Conclusion: This qualitative study provides insights into parents’ experiences of living in joint physical custody with their children. Many positive experiences and a similar process of adapting to the new arrangement were revealed. In the initial period, the parents seemed mainly to have been occupied with emotional reactions to the new family situation.
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| 7. |
- Carlsund, Åsa, 1969-
(författare)
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Children`s Mental Health -with focus on family arrangements
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The main aim of this thesis was to study children’s mental health with focus on family arrangements. The thesis was based on four studies (I-IV). Study number I, III and IV were quantitative studies with cross sectional design, using the Swedish version of Health behaviour in School- aged children (HBSC), including children aged 11, 13 and 15 years. The data was analysed with multiple linear regression analysis (I) and multivariate logistic regression analysis (III, IV). Study II was of qualitative descriptive design, based on 28 interviews with parents living in shared physical custody with their children. The qualitative study was analysed with inductive latent content analysis.Study I showed that lower levels of SHC and higher levels of SWB were associated with higher degrees of social capital in the family, school and neighbourhood. Social capital in family, school and neighbourhood had a cumulative influence on children’s SHC and SWB. In study II the participating parents described their own as well as the perceptions of their children and former partners. Parents’ perceptions changed from the beginning of shared physical custody, through the current situation, ending with perception of the future. The fifteen year old boys and girls (III) living in shared physical custody were more at risk of being a smoker or having been drunk compared with children living in two parent families. The results of sex <15 years and conduct problems showed that the risks didn’t differ significantly between these two groups. Study IV showed that children living in shared physical custody with their parents were more likely than children in two parent families to report multiple SHC, and low SWB. The variable of communication did not moderate the SHC and SWB of the children in any of these two groups.This thesis contribute with new and deeper understanding of the relatively new phenomenon: shared physical custody, and its associations to children’s mental health. The parent’s perceptions were an important complement to the children’s self reported health. In order to influence the decreasing mental health among children and adolescents, their opinions contributes to further understanding. Narratives from children, parents and practitioners are required in order to further study the association between children’s health outcomes and different family arrangements. Additional studies are needed to clarify how children’s mental health and different family arrangements are related to school, community economy, and society.
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| 8. |
- Carlsund, Åsa, et al.
(författare)
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Risk behaviour in Swedish adolescents : is shared physical custody after divorce a risk or a protective factor?
- 2013
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Ingår i: European Journal of Public Health. - : Oxford University Press (OUP). - 1101-1262 .- 1464-360X. ; 23:1, s. 3-8
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The increase in shared physical custody in Sweden has been dramatic; 20 years ago only a small percentage of adolescents lived in shared physical custody, but currently ∼30% of the adolescents whose parents have separated or divorced divide their residence between parents. We hypothesized that living in shared physical custody or in a single-parent family is associated with a higher prevalence of adolescent risk behaviour than living in a two-parent family. METHODS: Data on 15-year-old adolescents from the 2005/2006 to 2009/2010 Swedish Health Behaviour in School-aged Children (HBSC) survey were analysed using logistic regression. RESULTS: Adolescents living in shared physical custody had slightly higher rates of risk behaviour compared with adolescents from two-parent families, but significantly lower rates than their counterparts from single-parent families. Their odds of being a smoker or having been drunk were 60 and 50% higher, respectively, than those of their counterparts in two-parent families. CONCLUSION: Shared physical custody after marriage break-up seems to constitute a health protective factor for adolescents' health and problem behaviour. In order to deepen our understanding of the positive and negative aspects of shared physical custody, our study should be followed by qualitative analyses and longitudinal studies of adolescents' experiences.
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| 9. |
- Carlsund, Åsa, et al.
(författare)
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Shared physical custody after family split-up : implications for health and well-being in Swedish schoolchildren.
- 2013
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 102:3, s. 318-323
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Tidskriftsartikel (refereegranskat)abstract
- AIM: In Sweden, shared physical custody following a parental separation has emerged as means for children to keep close relationships with both parents. Previous studies show that children benefit from regular contact with both parents, who share responsibility for their social, emotional, and economic welfare. In this study we investigate any associations between family arrangements, i.e. two parent, single and shared physical custody families and child health outcomes and whether this association was modified by parent-child communication Methods Data on 11-15-year-old children from the 2005/2006 and 2009/2010 Swedish Health Behaviour in School-aged Children survey were analysed using multivariate logistic regression RESULTS: Children in shared physical custody were more likely than children in two-parent families to report multiple health complaints (OR 1.26) and low well-being (OR 1.71). When variables of parent-child communication were entered in the model, the initial differences remained between children living in shared physical custody and those living in two-parent families. Conclusion Children in shared physical custody and single parent families are more at risk of negative outcomes compared to children in two parent families. This association was not modified by parent-child communication in children in shared custody families, indicating that the communication equals that in two-parent family children.
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| 10. |
- Eriksson, Ulrika, et al.
(författare)
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Health outcomes among Swedish children : the role of social capital in the family, school and neighbourhood
- 2012
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 101:5, s. 513-517
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of the study was to explore the extent to which Swedish childrens perceptions of social capital in the family, school and neighbourhood predicted health complaints and well-being. Methods: The study used data from the Swedish Health Behaviour in School-aged Children survey. The sample consisted of 3926 children aged 11-15 years. Correlations and hierarchical multiple linear regression were performed. Results: Higher degrees of family, school and neighbourhood social capital corresponded to lower levels of health complaints and higher levels of well-being. Social capital in these three spheres had a cumulative effect on children's health and well-being. Conclusions: Social capital in the family, school and neighbourhood matters for children's health and well-being and the contributions from each context seem to be additive. Besides the family context, investments for improving child health should primarily be in the school, focusing on social relations and on creating safe and cohesive school environments. Neighbourhood social capital is also of importance and so must be taken into consideration when planning child health promotion interventions.
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